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NPI Code Detail

MEDICARE: LAURA E BUENING PA-C

MEDICARE: LAURA E BUENING PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AS0400XSurgical Physician Assistant10000665AIN
2363A00000XPhysician Assistant

General Provider Information

NPI Number : 1972586485
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA E BUENING PA-C
Provider Business Mailing Address
First Line : 8326 NAAB RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-1920
Country : US
Telephone Number : 317-871-0000
Fax Number : 317-871-0010
Provider Business Practice Location Address
First Line : 8326 NAAB RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-1920
Country : US
Telephone Number : 317-871-0000
Fax Number : 317-871-0010
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2005
Last Update Date : 09/10/2021

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Directions to “ LAURA E BUENING PA-C” Practice Location

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